Video Guided School Based Treatment of Youth Depression

描述（由申请人提供）：青少年抑郁症是一种严重的损害性疾病。其患病率在青春期后急剧上升，突出了在青春期早期治疗的公共卫生意义。我们的长期目标是开发和改进青年抑郁症的治疗方法，使其在各种青年环境中有效和可部署。在这里，我们将重点放在有证据表明大多数青少年心理健康护理发生的环境：学校。迄今为止，将经验支持的认知行为疗法（CBT）传播到学校的努力并不是很成功，可能至少有两个原因：(a)大多数CBT计划的设计可能对用户的吸引力有限，(b) CBT计划尚未被证明优于当前基于学校的干预措施，因此没有一个令人信服的逻辑案例来改变。在这个应用程序中，我们解决了这两个潜在的问题。

DESCRIPTION (provided by applicant): Youth depression is a serious, impairing condition. Its prevalence increases sharply following puberty, highlighting the public health significance of treatment in early adolescence. Our long-term goal is to develop and refine treatment for youth depression that is effective and deployable in a variety of youth settings. Here we focus on the setting in which evidence suggests most youth mental health care occurs: the school. Efforts to disseminate empirically supported cognitive behavioral therapies (CBTs) to schools have not been very successful to date, perhaps for at least 2 reasons: (a) the design of most CBT programs may have limited user appeal, and (b) CBT programs have not been shown to outperform current school-based interventions, so there is not a compelling logical case for change. In this application, we address both potential problems. To address the user appeal issue, we have drawn from the literature on robust design to restructure our own CBT program--Primary and Secondary Control Enhancement Training (PASCET) as a video-guided treatment. To address the case for change issue, we propose a trial of our video-guided treatment with a commonly used school-based treatment approach as the comparison condition. In the trial, 6th and 7th graders who meet diagnostic criteria for depressive disorders will be randomly assigned to the two conditions, matched for group format and treatment dose, and all treatment will take place in middle schools. Depression and other outcomes will be assessed at post-treatment and a 1-year follow-up.